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NPI Code Detail

MEDICARE: MS. LISA ANN MORRIS PA

MEDICARE: MS. LISA ANN MORRIS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant004515-1NY

General Provider Information

NPI Number : 1033178595
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ANN MORRIS PA
Provider Business Mailing Address
First Line : 301 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8408
Country : US
Telephone Number : 631-968-3000
Fax Number :
Provider Business Practice Location Address
First Line : 301 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8408
Country : US
Telephone Number : 631-968-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 08/22/2008

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